$3,000 Deductible with HCCS . ધ્યાન આપો:  જો તમે ગુજરા તી બોલતા  હો, તો તમને ભા ષા કીય  સહાય  તા  સેવા ઓ વિ ના  મૂલ્યે  ઉપલબ્ધ છે.

.st0{fill:#686868;} ACHTUNG: Wenn Sie Deutsche sprechen, steht Ihnen kostenlos fremdsprachliche Unterstützung zur Verfügung. in a Blue Cross plan. If you have questions about your HMO Blue New England Options v.2 coverage, just call Member Service at the number shown on the front of your ID card. Does this plan have access to a national provider network?

Telefone para os Serviços aos Membros, através do número no seu cartão ID chamar  1-800-200-4255 (TTY: 711 ).

If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application.

ការជូនដំណឹង៖ ប្រសិនប.

Please read your Benefit Booklet carefully, because important terms and conditions apply.

�`�F&t�r��`j�W7�7�u��%@5�� 0�i����W�ݵ��l�w��p��6r��G��������L~�� �S��� fGP��!h�D��=����O�QD�-e }���*gx��B_(9*Kg�'<=��IH�2 that is a part of your Subscriber Certificate. PAUNAWA: Kung nagsasalita ka ng wikang Tagalog, mayroon kang magagamit na mga libreng serbisyo para sa tulong sa wika. 4#�E!����R�Ӵ�Q~����j_��no�|�旿��mu�[uX߬�����O��m��W��67�����\���]�^�����V�B�������_�I��6?�R�������/��{���٬iȊn�����1����i�O�Lȿ�$�:��I |ӈ�c6V{� �@���p� �܋F@/���+�J]:��c����e,;]��c�6u=a�(�>�T��BI,��\�B,�:�i���Ǔ�y�}Xm����c���q�X(Z3v��M���e��%�'��,�S7�7cG@B(����8�P6�h�]��ց4�s�?�/�܇�пTy�xR�D�'���Q�(�S��%��7�vX��+2�� 䲺]?>,E��!DA��I�~E�F�j. 281 0 obj <>stream ຂໍ້ຄວນໃສ່ໃຈ: ຖ້າເຈົ້າເວົ້າພາສາລາວໄດ້, ມີການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາໃຫ້ທ່ານໂດຍບໍ່ເສຍຄ່າ. And remember, Blue Care Line nurses can answer questions about health concerns. कार  ्ड पर दि ए गए नंबर पर कॉल करें  कॉल 1-800-200-4255 ( टी .टी .वा ई.: 711).

ໂທ ຫາ ຝ່າຍບໍລິການສະ ມາ ຊິກທີ່ໝາຍເລກໂທລະສັບຢູ່ໃນບັດຂອງທ່ານ ໂທ 1-800-200-4255 (TTY: 711). HMO Blue New England . Office visits (PCP): $25 Preferred Tier, $40 Standard Tier. If you choose to obtain a quote or apply for an insurance plan, you may be transferred to a partner website to complete your request.

Do not rely on this schedule alone. Call 1-800-200-4255 (TTY: 711). HealthPocket.com provides information on insurance products. HMO Blue New England. For more information, visit the BlueCard website at provider.bcbs.com. Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. Health Maintenance Organization Subscriber Certificate HMO (1-1-2020) Page 1 hneded3000HCCSSoB-0121sngB . Please read your Benefit Booklet carefully, because important terms and conditions apply.

Effective January 1, 2015, this plan covers dependents through the end of the month in which they turn age 26 years of age. Dr. Francine Yep answered.

Learn more about plan monthly cost,premimum deductibles,prescription drug coverage, hospital services, accepted doctors and more. :�k�9ψ�*"��'40�H*!��h+j��c�0�ZO�$�Ǫ�qa`SD-{��

ATTENTION: If you speak a language other than English, language assistance services are available to you free of charge. Sign In to MyBlue to see how much you’ve spent toward your out-of-pocket maximum. ObamaCare’s Gold Plan is a type of Metal Plan on the Health Insurance Marketplace.

Your copayments under this plan are as follows: The out-of-pocket maximum is the most you pay, per plan year, for covered health expenses before the plan pays 100 percent of covered expenses for the rest of that year. તમા રા  આઈડી કાર  ્ડ પર આપેલા  નંબર પર Member Service  ને કૉલ કરો કૉલ કરો 1-800-200-4255 (TTY: 711).

Cost Sharing Summary See our Open Enrollment article for more information. Learn more about plan monthly cost,premimum deductibles,prescription drug coverage, hospital services, accepted doctors and more. Network Blue New England Premium Plan (HMO) Dependent Benefits. Llame al número de Servicio al Cliente que figura en su tarjeta de identificación llamada 1-800-200-4255 (TTY: 711 ). $250 for an individual and $500 for a family for services with Preferred Tier Providers.

Schedule of Benefits. Chiamate il Servizio per i membri al numero riportato sulla vostra scheda identificativa chiamata  1-800-200-4255 (TTY: 711 ).

Do not rely on this schedule alone.

You can use HealthPocket’s comparison tool to compare Gold Plan premiums in your area. ATANSYON: Si ou pale kreyòl ayisyen, sèvis asistans nan lang disponib pou ou gratis.

HMO Blue New England As a member of our HMO Blue New England health plan, you must choose a primary care provider (PCP) for you and each member of your family. お知らせ:日本語をお話しになる方は無料の言語アシスタンスサービスをご利用いただけます。ID カードに記載の電話番号を使用してメンバーサービスまでお電話ください 呼び出す 1-800-200-4255(TTY: 711 )。. Hmo: see your primary care doc first and seek other specialist care as needed. ATTENZIONE: se parlate italiano, sono disponibili per voi servizi gratuiti di assistenza linguistica. BAA !KOHWIINDZIN DOO&G&: Din4 k’ehj7 y1n7[t’i’go saad bee y1t’i’ 47 t’11j77k’e bee n7k1’a’doowo[go 47 n1’ahoot’i’.

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† HMO Blue New England and Network Blue New England are administered by Anthem Blue Cross and Blue Shield.

Gold plans mean higher premiums, less Tax Credits, but much better cost sharing on average than Silver or Bronze. 신분증에있는 전화 번호 1-800-200-4255 (TTY : 711)로 회원 서비스에 연락하십시오. Gold Plans qualify for Tax Credits, have high premiums, and good cost sharing. Does this plan cover services outside plan service area? We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. UWAGA: Osoby posługujące się językiem polskim mogą bezpłatnie skorzystać z pomocy językowej.

HealthPocket is a free information source designed to help consumers find medical coverage. Please contact, Primary Care Visit to Treat an Injury or Illness, Laboratory Outpatient and Professional Services, Diagnostic Imaging such as MRIs, CT, and PET scans. HMO Blue New England, which covers Massachusetts, Connecticut, New Hampshire, Maine, Rhode Island, and Vermont Beginning January 1, 2018, we'll implement changes to our health plans. Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans of New …

This is the . ВНИМАНИЕ: если Вы говорите по-русски, Вы можете воспользоваться бесплатными услугами переводчика. Appelez le Service adhérents au numéro indiqué sur votre carte d’assuré appel 1-800-200-4255  (TTY : 711 ). ध्यान दें: य दि  आप ह िन् दी बोलते ह ैं, तो भा षा  सहाय  ता  सेवा एँ, आप के लि ए नि :शुल्क  उपलब्ध ह ैं। सदस्य  सेवा ओं को आपके आई.डी. Is a referral required to see a Specialist?

HMO Blue® New England COST SHARING SCHEDULE This Cost Sharing Schedule is an outline of your cost sharing requirements and Benefits. The Gold Plan typically pays 80% of covered medical costs. Always review the privacy and terms of use of the partner website. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. D77 bee an7tah7g7 ninaaltsoos bine’d44’ n0omba bik1’7g7ij8’ b44sh bee hod77lnih call 1-800-200-4255 (TTY: 711). Należy zadzwonić do Działu obsługi ubezpieczonych pod numer podany na identyfikatorze zadzwoń 1-800-200-4255 (TTY: 711 ). HMO Blue New England Enhanced Value: Wachusett Regional School District Coverage for: Individual and Family | Plan Type: HMO Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association 1 of 6 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The monthly premium for a Gold Plan depends on the insurer from whom you purchase the plan, the number of people to be insured by the plan, your age, whether you smoke, and your geographic region.

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